National epidemiological study reveals longer paediatric bone and joint infection stays for infants and in general hospitals
Autor: | Leslie Grammatico-Guillon, E. Laurent, L. Petit, Z. Maakaroun-Vermesse, T. Odent, Louis Bernard |
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Rok vydání: | 2017 |
Předmět: |
Male
0301 basic medicine Spondylodiscitis Pediatrics medicine.medical_specialty Adolescent 030106 microbiology 03 medical and health sciences 0302 clinical medicine Pharmacotherapy 030225 pediatrics Epidemiology medicine Humans Child Arthritis Infectious business.industry Incidence (epidemiology) Osteomyelitis Infant General Medicine Length of Stay Bone Diseases Infectious medicine.disease Anti-Bacterial Agents Regimen Cross-Sectional Studies Child Preschool Pediatrics Perinatology and Child Health Etiology Administration Intravenous Female Septic arthritis France business |
Zdroj: | Acta Paediatrica. 107:1270-1275 |
ISSN: | 0803-5253 |
DOI: | 10.1111/apa.13909 |
Popis: | Aim Published studies have suggested that two to five days of intravenous treatment could effectively treat paediatric bone and joint infections (PBJI), allowing a faster discharge. This study analysed the factors associated with PBJI hospital stays lasting longer than five days using the French National Hospital Discharge Database. Methods We selected children under 15 years hospitalised in 2013 with haematogenous PBJIs using a validated French algorithm based on specific diagnosis and surgical procedure codes. Risk factors for stays of more than five days were analysed using logistic regression. Results In 2013, 2717 children were hospitalised for PBJI, with 49% staying more than five days. The overall incidence of 22 per 100 000, was highest in males and toddlers. The main causes were septic arthritis (50%) and osteomyelitis (46%) and 50% of the pathogens were Staphylococci. The odd ratios for stays of five days or more were infancy, coded bacteria and sickle cell disease (7.0), having spondylodiscitis rather than septic arthritis (2.2) and being hospitalised in a general hospital rather than a teaching hospital (1.6). Conclusion Half of the hospital stays exceeded five days, despite scientific evidence supporting a shorter intravenous antibiotherapy regimen. Greater knowledge and widespread use of short treatment regimens are needed. |
Databáze: | OpenAIRE |
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